Duration: 23 minutes, 10 seconds
Author: Dr. Sascha A. Jovanovic
Periodontal Crown Lengthening of 10 Maxillary Front Teeth
The Biological Width Around Natural Teeth
The biological width around natural teeth is between two to three millimeters. It consists of the sulcus depth, epithelial attachment, and connective tissue.
The Procedure
The crown lengthening procedure involves several steps.
Sounding the Bone Crest
The first step is to sound the bone crest to determine the appropriate level for crown lengthening.
Estimating the Keratinized Gingiva Zone
Next, the keratinized gingiva zone is estimated to ensure proper tissue coverage.
Thinning Out the Papilla Areas
To achieve the desired crown length, the papilla areas are thinned out.
Thinning Out the Buccal Crest of Bone
The buccal crest of bone is also thinned out to create the desired aesthetic outcome.
Evaluating Periodontal Biotype and Tooth Shape
Before performing the crown lengthening procedure, the periodontal biotype and tooth shape of the patient must be evaluated. This helps to determine the appropriate approach and expected results.
Laser Techniques for Crown Lengthening
Laser techniques, especially the erbium probium ysgg laser, can be used for both soft tissue and bone tissue procedures in crown lengthening. These lasers offer advantages such as less anesthesia and a more comfortable experience for the patient.
Conclusion
Periodontal crown lengthening of the maxillary front teeth is a procedure that involves various steps to achieve the desired crown length. It is important to evaluate the patient’s periodontal biotype and tooth shape before proceeding. Laser techniques can be used to enhance the procedure and improve patient comfort.
Frequently Asked Questions (FAQs)
Q: How long does the crown lengthening procedure take?
A: The duration of the crown lengthening procedure may vary depending on the complexity of the case. It generally takes a few hours.
Q: Is the crown lengthening procedure painful?
A: Local anesthesia is used to ensure that the procedure is painless. Some discomfort and swelling may occur after the procedure, but it can be managed with medication provided by the dentist.
Q: Can crown lengthening be done on any teeth?
A: Crown lengthening is typically performed on the front teeth that require more visible crown length for aesthetic purposes. Your dentist will assess your individual case and determine if crown lengthening is appropriate.
Q: How long does it take to recover from crown lengthening?
A: The recovery time varies for each patient. Generally, the initial healing period takes about two weeks, but complete healing may take several months.
Q: Are there any risks or complications associated with crown lengthening?
A: As with any surgical procedure, there are risks involved. These may include infection, bleeding, sensitivity, or uneven gum line. However, with proper care and follow-up visits to your dentist, the risks can be minimized.
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